I would really appreciate if someone could explain my latest MRI result, none of the health professionals I have seen has taken the time to really go over my MRI, in the UK you don't normally get results and its like for them to know and for us as patients get told the basics of whatever is wrong. I learnt a long while ago to ask for copies of things but when its way over the top of my head in understanding and the Neuro or my GP only tell me a. You have Military neck, pain management and Physio will help it or b. You have wear and tear. Both those explanations really anger me when this problem has dictated my life for 10 years and reduced me to hal the person I used to be and if its that simple then why hasn't this all been recognised sooner and treated if its that simple eh. Anyway, thanks for listening and hopefully you can help me. MRI result:
HISTORY; pain and paraethesia since 2001 - MRI 28.6.06 - mild retrolisthesis with canal stenosis at C5/6. Impingement of cord. Symptoms persist. Pt feels have got gradually worse over past 2 years. No weakness. Reflexes present - asymmetrical.
MRI CERVICAL SPINE: T1 and T2 sagittal images with gradient echo axial images from the mid C4 level to upper border of T2.
There is reversal of the normal cervical lordosis. As on the previous scan, there is a minimal retrolisthesis at the C5/6 level. There is now very minor retrolisthesis at the C6/7 level. This is associated with elevation of the posterior longitudinal ligament. The degree of thickening of the longitudinal ligament at this level and the levels above is significantly more than on the previous examination.
C4/5 Level: There is a very focal disc/osteophytic protrsuion which touches and indents the cord. Centrally there is more cord compression and the cord only measures 4.0mm in AP diameter. The neural foraminae are adeqaute.
C5/6 Level: This is the level of retrolisthesis. The AP diameter of the spinal canal is narrowed to 6.0mm and there is little in the way of CSF around the cord. The AP diameter of the canal has reduced 9.0 to 7.0mm. Both neural foraminae are severely narrowed probably a little more than on the previous examination.
C6/7 Level: There is again a very focal central disc/osteophytic protrusion compressing the cord. Simialr appearances to the previous scan, the cord is significantly flattened. Moderate narrowing of the neural foraminae.
C7/T1 Level: Mild to moderate narrowing of both neural foraminae. The Cord appears unremarkable at this level at the T1/T2 level.
OPINION: There is now a minor degree of retrlisthesis at C6/7 level as well as the C5/6 level. There is more in the way of posterior longitudinal ligament thickening and there is focal compression of the cord at the C4/5,C5/6 and C6/7 levels. This appears more marked at the C4/5 and C5/6 levels than on previous examination. There is still no convincing high signal within the cord.